Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.41 / $681.62 / $5,634.00	Facility		$187.41	$681.62	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.41 / $236.04 / $318.26	Professional		$187.41	$236.04	$318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $248.71 / $357.67	Professional		$185.60	$248.71	$357.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $268.77 / $350.57	Facility		$184.52	$268.77	$350.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.85 / $308.22 / $368.10	Professional		$256.85	$308.22	$368.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.99 / $291.74 / $456.29	Professional		$216.99	$291.74	$456.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.37 / $291.95 / $574.75	Professional		$204.37	$291.95	$574.75